Vulvo Vaginal Disease

Question 1

What is the function of the stratified squamous epithelium?

Answer 1

Produces glycogen, ideal environment for lactobacilli.

Question 2

leucorrhoea

Answer 2

white in pregnant women.

Question 3

Cervicitis

Answer 3

Gonorrhoea
Mycoplasma
Chlamydia

Question 4

Vulvo- Vaginitis

Answer 4

Candidiasis
Bacterial Vaginosis
Trichomoniasis

Question 5

Treatment of over 35 with a partner who does not have male urethral discharge.

Answer 5

Metronidazole 2g PO stat
Clotrimazole 500mg

Question 6

Treatment of women under 35 with a male urethral discharge.

Answer 6

Ceftriaxone 250mg IM (gonorrhoea)
Azithromycin 1g PO (chlamydia and mycoplasma)
Metronidazole 2g PO (anaerobes and trichomonas)

Question 7

Causes of infectious cervicitis.

Answer 7

Neisseria Gonorrhoea
Chlamydia trachomatis
Mycoplasma genitalum

Question 8

colour discharge and symptoms of infectious cervicitis.

Answer 8

yellow, green, brown, white or blood stained.
Dyspareunia

Question 9

Complication of Infectious cervicitis.

Answer 9

PID
tubal infertility
Ectopic Pregnancy

Question 10

Organism responsible for Bacteria Vaginosis

Answer 10

Gardnerella Vaginalis

Question 11

Pathogenesis of Bacterial Vaginosis.

Answer 11

GV reduces lactobacilli increasing the vaginal pH.
this allows for anaerobes to produce foul smelling amines ( fishy odour)

Question 12

Amsel Criteria for diagnosing Bacteria Vaginosis

Answer 12

Characteristics discharge
pH paper indicates elevated pH
Whiff test: adding potassium hydroxide (discharge results in fishy discharge)
Clue cells

Question 13

Treatment of Bacterial Vaginosis.

Answer 13

Metronidazole

Question 14

Vaginal Candida

Answer 14

Not sexually transmitted
Not an opportunistic infection

Question 15

Management of Vaginal Candida

Answer 15

Clotrimazole
Avoid scented soaps and tight fitting soaps
reducing sugar intake.

Question 16

Trichomoniasis

Answer 16

Sexually transmitted parasite
Trichomonas Vaginalis

Question 17

Difference between Bacterial Vaginosis and Trichomoniasis

Answer 17

No clue cells in Trichomoniasis
and associated with redness and irritation

Question 18

Infected cervix of trichomoniasis.

Answer 18

Strawberry cervix with red haemorhagic spots

Question 19

Vaginal Atrophy

Answer 19

Decreased levels of oestrogen

Question 20

Symptoms

Answer 20

Watery discharge
dyspareunia
vaginal dryness
spotting

Question 21

Condylomata acuminate

Answer 21

Anogenital warts
Highly prevalent in immunocompromised
HPV 6 and 11

Question 22

Treament of COndylomata acuminate

Answer 22

Topical for small: Podophyllin
Imiquimod
Tri-chloroacetic acid

Large (remove)

Question 23

Causes of genital herpes

Answer 23

HPV 1 and 2

Question 24

Three types of infection for genital herpes

Answer 24

Primary infection: initial with no Ab, severe
Non-primary first episode: Less severe
Recurrent: not severe, unless immunocompromised.

Question 25

Symptoms of genital herpes

Answer 25

Painful ulcers
clusters of vesicles on erythematous base
groin lymphnodes may be enlarged

Question 26

Treatment of genital herpes

Answer 26

acyclovir